Glenwood Oral Surgery, P.c.
NPI #1043480452 in Glenwood Springs, Colorado
Provider Information
- NPI Number
- 1043480452
- Entity Type
- Organization
- Organization Name
- Glenwood Oral Surgery, P.c.
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Mar 3, 2008
- Last Updated
- Mar 3, 2008
Practice Location
- Address
- 406 SOUTH HYLAND PARK DR
- Address 2
- SUITE B
- City
- Glenwood Springs
- State
- Colorado
- ZIP Code
- 81601
- Phone
- (970) 945-9644
Authorized Official
- Name
- DR. GEORGE WAYNE HALTOM III, D.D.S.
- Title
- OWNER
- Phone
- (970) 945-9644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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